Individual provider Active NPI

Laura Elizabeth Frederick, LMFT

  • Marriage & Family Therapist
  • Huntsville, AL
National Provider Identifier
1750046801
Registry record updated Nov 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Marriage & Family TherapistTaxonomy code 106H00000X
License
L583 Issued in AL
Practice address
333 Franklin St SE Ste 300
Huntsville, AL 35801-4264
Phone
(256) 270-7399
NPI assigned
Nov 3, 2021
Last updated
Nov 3, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X L583 AL Primary

Addresses

Primary practice location

333 Franklin St SE Ste 300
Huntsville, AL 35801-4264

Mailing address

333 Franklin St SE Ste 300
Huntsville, AL 35801-4264
Phone (256) 270-7399

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241122002665 AL Practitioner - Marriage and Family Therapist 7012442395 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Vine Pastoral Counseling Center, Inc. Marriage & Family Therapist CurrentSince Sep 1, 2024 Accepting new patients

Locations

333 Franklin St SE
Ste 300
Huntsville, AL 35801
Phone (256) 270-7399

608 Church St NW
Huntsville, AL 35801
Phone (256) 270-7399

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1635897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1635897600000",
    "number": "1750046801",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 FRANKLIN ST SE STE 300",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014264",
            "telephone_number": "256-270-7399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 FRANKLIN ST SE STE 300",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358014264",
            "telephone_number": "256-270-7399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FREDERICK",
        "first_name": "LAURA",
        "middle_name": "ELIZABETH",
        "credential": "LMFT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-03",
        "last_updated": "2021-11-03",
        "certification_date": "2021-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "",
            "desc": "Marriage & Family Therapist",
            "state": "AL",
            "license": "L583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.